How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,737.80 Typical High $1,737.80 | Professional | None | $323.59 | $1,737.80 | $1,737.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
BCBS Idaho Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $912.01 | Professional | None | $758.58 | $891.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,862.09 Typical High $3,548.13 | Facility | None | $707.95 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,479.11 | Professional | None | $676.08 | $676.08 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,737.80 | Facility | None | $891.25 | $891.25 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,737.80 | Professional | None | $870.96 | $954.99 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,698.24 | Facility | None | $891.25 | $1,348.96 | $1,698.24 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,698.24 | Professional | None | $891.25 | $1,348.96 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,235.94 | Facility | None | $1,348.96 | $2,041.74 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | None | $758.58 | $758.58 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Facility | None | $891.25 | $891.25 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,288.25 | Professional | None | $891.25 | $891.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,445.44 | Professional | None | $380.19 | $380.19 | $1,445.44 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $630.96 | $645.65 | $645.65 |
Where Idaho sits
The same service costs 5.1 times more in Texas than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 15th of 51
$955
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.